Bilateral vestibular weakness

Timothy C Hain*, Marcello Cherchi, Dario Andres Yacovino

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Bilateral vestibular weakness (BVW) is a rare cause of imbalance. Patients with BVW complain of oscillopsia. In approximately half of the patients with BVW, the cause remains undetermined; in the remainder, the most common etiology by far is gentamicin ototoxicity, followed by much rarer entities such as autoimmune inner ear disease, meningitis, bilateral Ménière's disease, bilateral vestibular neuritis, and bilateral vestibular schwannomas. While a number of bedside tests may raise the suspicion of BVW, the diagnosis should be confirmed by rotatory chair testing. Treatment of BVW is largely supportive. Medications with the unintended effect of vestibular suppression should be avoided.

Original languageEnglish (US)
Article number344
JournalFrontiers in Neurology
Volume9
Issue numberMAY
DOIs
StatePublished - May 31 2018

Keywords

  • Bilateral vestibular weakness
  • Oscillopsia
  • Ototoxicity
  • Rotatory chair testing
  • Vestibular testing
  • Vestibulo-ocular reflex

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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